Individual
CATHERINE W REAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
110 R T STANLEY SR PL, LYONS, GA 30436
(912) 526-9355
(912) 526-4783
Mailing address
110 R T STANLEY SR PL, LYONS, GA 30436
(912) 526-9355
(912) 526-4783
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP108269
TX
363L00000X
Nurse Practitioner
RN155029 NP
GA
Other
Enumeration date
08/29/2005
Last updated
06/25/2014
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